Manohar Kola is a Specialist in Decatur, Illinois. Manohar Kola practices all healthcare services and medical treatments related to Specialist. The NPI Number for Manohar Kola is 1982786273. The last update date is 2021-12-23.
Manohar Kola's current location address is 1770 E Lake Shore Dr Ste 105, Decatur, Illinois. You can contact this provider via phone number 2174226100 and fax number 8337845326. The mailing address for Manohar Kola is 1770 E Lake Shore Dr Ste 105, Decatur, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Manohar Kola |
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Address | 1770 E Lake Shore Dr Ste 105, Decatur, Illinois |
Phone Number | 2174226100 |
Fax Number | 8337845326 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1982786273 |
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Provider Enumeration Date | 2006-10-19 |
Last Updated Date | 2021-12-23 |
Provider Mailing Address Detail
Address | 1770 E Lake Shore Dr Ste 105 |
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City | Decatur |
State | Illinois (IL) |
Post Code | 625213800 |
Phone Number | 2174226100 |
Fax Number | 8337845326 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Licence No | 036-071409 |
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
36071409 | IL | -- | |
60040114 | IL | RAILROAD |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Manohar Kola by the Centers for Medicare & Medicaid Services?
The Manohar Kola has been assigned the NPI (National Provider Identifier) 1982786273 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Manohar Kola's facilities are geographically located?
The facilities of Manohar Kola are physically situated at the following location: 1770 E Lake Shore Dr Ste 105, Decatur, IL, 625213800.
What is the Manohar Kola's area of specialization and corresponding taxonomy classification?
The Manohar Kola's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1982786273 to Manohar Kola?
The Centers for Medicare & Medicaid Services assigned the 1982786273 to Manohar Kola on 2006-10-19.
As of what date was the information regarding Manohar Kola, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Manohar Kola, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-12-23.
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